| NPI | 1679207815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP026047) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA RN700738) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-08-03 |